MEDICARE: SEASONS OF GROWTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1417551656
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEASONS OF GROWTH LLC

Provider Business Mailing Address
First Line	:	5250 CHEROKEE AVE
Second Line	:	SUITE 211
City	:	ALEXANDRIA
State	:	VA
Zip	:	22312-2052
Country	:	US
Telephone Number	:	703-763-4274
Fax Number	:

Provider Business Practice Location Address
First Line	:	5250 CHEROKEE AVE
Second Line	:	SUITE 211
City	:	ALEXANDRIA
State	:	VA
Zip	:	22312-2052
Country	:	US
Telephone Number	:	703-763-4274
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ROBERT CARMICHAEL
Credential	:
Telephone Number	:	551-427-7125

Provider Enumeration Date	:	11/29/2020
Last Update Date	:	10/16/2025

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Directions to “SEASONS OF GROWTH LLC ” Practice Location

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